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Previous Article | Table of Contents | Next Article 
Blood, Vol. 93 No. 2 (January 15), 1999:
pp. 607-612
Functional Role of Interleukin-4 (IL-4) and IL-7 in the Development
of X-Linked Severe Combined Immunodeficiency
By
Satoru Kumaki,
Naoto Ishii,
Masayoshi Minegishi,
Shigeru Tsuchiya,
David Cosman,
Kazuo Sugamura, and
Tasuke Konno
From the Department of Pediatric Oncology, Institute of Development,
Aging and Cancer, Tohoku University, Sendai, Japan; the Department of
Immunology, Tohoku University School of Medicine, Sendai, Japan; and
the Department of Molecular Biology, Immunex Research and Development
Corp, Seattle, WA.
 |
ABSTRACT |
X-linked severe combined immunodeficiency (X-SCID) is characterized
by an absent or diminished number of T cells and natural-killer (NK)
cells with a normal or elevated number of B cells, and results from
mutations of the c chain. The c chain is shared by interleukin-2 (IL-2), IL-4, IL-7, IL-9, and IL-15 receptors. Recently, a survival signal through the IL-7 receptor (IL-7R ) chain was shown to be
important for T-cell development in mice and was suggested to
contribute to the X-SCID phenotype. In the present study, we examined
function of a mutant c chain (A156V) isolated from an X-SCID patient
and found that T cells expressing the mutant c chain were
selectively impaired in their responses to IL-4 or IL-7 compared with
the wild-type c chain expressing cells although responses to IL-2 or
IL-15 were relatively maintained. The result shows that IL-4-
and/or IL-7-induced signaling through the c chain is
critical for T-cell development and plays an important role in the
development of the X-SCID phenotype.
© 1999 by The American Society of Hematology.
 |
INTRODUCTION |
MUTATIONS OF THE c chain result in
X-linked severe combined immunodeficiency (X-SCID), and represent about
half the cases of severe-combined immunodeficiency. The characteristic immunological findings in X-SCID are profound impairment of both cellular and humoral immunity due to the absence or markedly diminished number of T cells and natural-killer (NK) cells together with abnormal
B-cell function.1,2 Initially, the c chain was cloned as
a third subunit of the interleukin-2 (IL-2) receptor.3,4 Subsequently, the c chain has been shown to participate in the IL-4,
IL-7, IL-9, and IL-15 receptor systems.5-11 Thus the
profound immunological defects in X-SCID patients were hypothesized as the results of combined signaling defects through a wide range of
receptors that use the c chain. However, recent studies, using mice
in which the genes for these cytokines and their receptors have been
ablated, suggested more selective defects in cytokine signaling are
important for the development of X-SCID phenotype. Gene disruption of
either IL-7 or the IL-7-receptor (IL-7R) subunit leads to severe
perturbation of T and B lymphopoiesis similar to that found in c
chain-deficient mice.12-16 In addition, expression of
bcl-2, which mediates a survival signal through the IL-7 receptor,
rescued T-cell development in IL-7R chain knockout
mice.17,18 NK cell development was disrupted in
IL-2R -deficient mice and in c-deficient mice but not in
IL-2-deficient mice.14-16,19,20 Because the IL-15R
consists of IL-2R and c chains, which are also signaling
components of the IL-2 receptor, in addition to a unique IL-15R
chain, IL-15 is a candidate for an essential cytokine in NK cell
development.21,22 In contrast, IL-2 and IL-4 double
knockout mice do not show early developmental defects of the immune
system indicating that IL-2 and IL-4 are not essential for the
development of the immune system in mice.23 The importance of IL-7 and IL-7R for T-cell development in humans has also been described and it has been suggested that defects in the IL-7 system contributes to the X-SCID phenotype.24,25 Therefore it is
important to examine the function of mutant c chains isolated from
X-SCID patients to confirm this hypothesis.
In the present study, we examine a mutant c chain isolated from an
X-SCID patient, which has an amino acid substitution in the
extracellular domain of the c chain, and show that IL-4- and
IL-7-induced signals are selectively diminished in the transfectant cells stably expressing the mutant c chain compared with the cells
expressing the wild-type c chain. These results show that IL-4
and/or IL-7 play a crucial role in T-cell development and contributes to the X-SCID phenotype.
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MATERIALS AND METHODS |
The patient, a 3-month-old male, was referred to our hospital with
intractable diarrhea, wasting, and pneumonia. His maternal cousin died
in early infancy due to fungal infection. In his peripheral blood,
there were no detectable circulating T cells although the number of B
cells was normal (560/µL). The responsiveness of the lymphocytes to
phytohemagglutinin (PHA), concanavalin A (ConA), and mixed lymphocyte
culture was markedly reduced. NK activity of the patient was comparable
to normal controls. He died of respiratory failure 2 weeks after
admission. The mutation in the c chain of the patient was described
previously.26 Briefly, the patient had a C to T point
mutation at nucleotide position 481, resulting in one amino acid
substitution of valine for alanine (A156V) in the extracellular domain
of the c chain.
Cell lines.
A human T-cell line, ED40515( ), is derived from the
peripheral blood of a patient with adult T-cell leukemia.26
The T-cell line expresses the IL-2R , IL-2R , IL-4R , and
IL-15R chains but not the c or IL-7R chain endogenously
(Fig 1). The T cells were cultured in RPMI
1640 medium containing 10% fetal calf serum, penicillin, streptomycin,
and gentamycin at 37°C in 10% CO2. Expression vectors
for the wild-type c chain or mutant c chain (A156V) from the
X-SCID patient and the human IL-7R chain were stably transfected
into ED40515(-) cells along with pSV2neo by electroporation
followed by selection in the medium containing G418 (GIBCO BRL, Grand
Island, NY) as described previously.26

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| Fig 1.
Immunofluorescence staining of receptors on ED40515
(-) cells and transfected derivatives. (A) Cells were
stained with an anti-IL-15 MoAb, M110 (· · · ·),
anti-IL-2R MoAb, TU27 (- · - ·), anti-IL-4R MoAb ( )
or anti-IL-15R MoAb, M162 (- - -), followed by PE-conjugated
antimouse IgG. (B) FITC-conjugated anti-IL-2R MoAb ( - ) or
FITC-conjugated control IgG1 (· · · ·) were used for
staining of these cells. (C) Cells were treated with a
biotin-conjugated antihuman c chain MoAb, TUGh4 ( ), antihuman
IL-7R chain MoAb (- - -) or without antibody
(· · · ·) followed by streptavidin-phycoerythrin staining.
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Cytokines and antibodies.
Purified human recombinant IL-4 was purchased from Pepro Tech (Rocky
Hill, NJ), and purified human recombinant IL-2, IL-7, and IL-15 were
provided by Ajinomoto Corp (Kanagawa, Japan), Sterling Research Group
(Malvern, PA), and Immunex Corp (Seattle, WA), respectively. A rat
antihuman c chain monoclonal antibody (MoAb), TUGh4, and a mouse
antihuman IL-7R MoAb (Immunex Corp) were conjugated to NHS-LS-biotin
(Pierce Chemical Co, Rockford, IL) as described previously.26 A mouse antihuman IL-15R MoAb (M162) and a
mouse antihuman IL-15 MoAb (M110) were provided by Immunex Corp, and a
mouse antihuman IL-4R MoAb, fluorescein isothiocyanate
(FITC)-conjugated antihuman IL-2R MoAb, R-Phycoerythrin-conjugated
antimouse IgG and rabbit antimouse Jak3 polyclonal antibodies were
purchased from Genzyme (Cambridge, MA), Coulter Corp (Miani, FL), Sigma Chemical Company (St Louis, MO), and Santa Cruz Biotechnology Inc
(Santa Cruz, CA), respectively.
Immunofluorescence staining.
The method for immunofluorescence staining was the same as described
previously.11 Briefly, 2 × 105 cells were
incubated with the first MoAbs for 45 minutes at 4°C. After being
washed twice, the cells were incubated with the R-Phycoerythrin- conjugated antimouse IgG or streptavidin-phycoerythrin (Becton Dickinson, San Jose, CA) for 30 minutes at 4°C except for staining of IL-2R chain. After being washed twice, the cells were analyzed with an EPICS flow cytometer (Coulter).
Detection of tyrosine phosphorylated Jak3.
Cells were starved for 24 hours in RPMI 1640 media containing 0.02%
bovine serum albumin (BSA) followed by stimulation with the indicated
amounts of IL-2, IL-4, IL-7, and IL-15 for the indicated times. The
cells were lysed with a buffer containing 1% NP-40, 10 mmol/L Tris-HCl
(pH7.5), 150 mmol/L NaCl, 1 mmol/L EDTA, 1% Aprotinin, 2 mmol/L
Na3 VO4 , 2 mmol/L phenylmethyl sulfonyl
fluoride (PMSF) , 0.1 mmol/L Na2MoO4, and 10 mmol/L NaF for 30 minutes at 4°C. After centrifugation, the
supernatants were precleared by incubation with protein-A Sepharose
CL-4B (Pharmacia, Piscataway, NJ) overnight. The samples were then
immunoprecipitated with rabbit antihuman Jak3 polyclonal antibodies for
2 hours at 4°C. The immunoprecipitates were separated by sodium
dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and
transferred to Hybond-enhanced chemiluminescence (ECL)
membrane (Amersham, Arlington Heights, IL). To detect the phosphotyrosine content, the membrane was sequentially bound with an
antiphosphotyrosine MoAb, 4G10 (Upstate Biotechnology Inc, Lake Placid,
NY) at a 1:1000 dilution and peroxidase-conjugated sheep antimouse
immunoglobin (Ig) (Amersham) at a 1:3000 dilution. The secondary
antibody bound to the membrane was detected by ECL (Amersham).
IL-4 and IL-7 binding.
Radiolabeling of human IL-7, binding conditions, and Scatchard analysis
were as described previously.11 125I-labeled
IL-4 was purchased from Amersham. For binding experiments, 1 × 106 cells were incubated with 125I-labeled IL-4
or IL-7 for 2 hours at 4°C in the presence of 0.02% sodium azide
and then separated by 1% sucrose. A 200-fold excess of corresponding
ligand was used for cold competition. The radioactivity in the cell
fraction was measured and the ligand binding was analyzed by Scatchard
plot.
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RESULTS |
Establishment of T-cell transfectants stably expressing the
c and IL-7R chains.
From the results of disruption of the IL-7 and IL-7R genes, IL-7 has
been shown to play a crucial role in the development of T cells in
mice.12,13 However, it is difficult to examine the
signaling ability of the mutant c chain in T cells obtained from
X-SCID patients because the numbers of T cells are markedly reduced in
these patients.1 Thus, we transfected the IL-7R chain
cDNA alone or in combination with the wild-type or mutant c chain
cDNA into a T-cell line ED40515( ), which lacks
endogenous expression of the c and IL-7R chains on the cell
surface (Fig 1C). Stable transfectant clones were selected by limiting
dilution. Expression of the exogenously introduced c and IL-7R
chains was confirmed by flow cytometry with an antihuman c chain
MoAb, TUGh4, and an antihuman IL-7R MoAb, respectively (Fig 1C). The
stable transfectant clones were termed ED-7R, ED- c-7R, and ED-AV-7R,
which express IL-7R chain alone, or along with the wild-type or
mutant c chain, respectively. Expression of endogenous IL-2R ,
IL-2R , IL-4R , and IL-15R chains was shown in Fig 1A.
Attenuated IL-4- and IL-7-induced tyrosine phosphorylation of Jak3
in ED cells expressing the mutant c chain.
To investigate the signal transducing ability of the mutant c chain,
the ED transfectant cells were stimulated with IL-2, IL-4, IL-7, and
IL-15. Tyrosine phosphorylation of Jak3 was evaluated as a
representative parameter of signaling through the c chain for the
following reasons: Jak3 is the only known signaling molecule directly
associated with the c chain, all cytokines using the c chain
induce rapid tyrosine phosphorylation of Jak3, and a human
Jak3-deficiency disease has similar clinical features to a human c
chain-deficient disease, X-SCID.1,27-33
Antiphosphotyrosine immunoblot analysis of Jak3 immunoprecipitates from
ED- c-7R.cl1 and ED- c-7R.cl3 cells, which express the wild-type
c and IL-7R chains, showed phosphorylation of Jak3 in response to
10 nmol/L of IL-2, IL-4, IL-7, and IL-15
(Fig 2A). In contrast, diminished tyrosine
phosphorylation of Jak3 on IL-4 or IL-7 stimulation was observed in
ED-AV-7R.cl2 and ED-AV-7R.cl8 cells, which express the mutant c and
IL-7R chains, although IL-2 or IL-15 induced significant tyrosine
phosphorylation of Jak3 (Fig 2A). Such tyrosine phosphorylation of Jak3
was not observed in parental ED40515( ) cells or in
ED-7R.cl1 cells after IL-2, IL-4, IL-7, and IL-15 stimulation (Fig 2A
and data not shown). Because we observed a minor increase in tyrosine
phosphorylation of Jak3 in ED-AV-7R clones in response to 10 nmol/L of
IL-7, while this increase was not observed after 10 nmol/L of IL-4
stimulation in these lines, we compared the dose response of IL-7 on
tyrosine phosphorylation of Jak3 between ED- c-7R.cl1 and
ED-AV-7R.cl2 cells (Fig 2B). The total
phosphotyrosine content of Jak3 increased in proportion to the
concentration of IL-7 in ED- c-7R.cl1 cells. In ED-AV-7R.cl2 cells,
in contrast, IL-7 stimulation resulted in only minor increases in Jak3
tyrosine phosphorylation, even at concentrations as high as 10 nmol/L
(Fig 2B). As shown in Fig 1, ED- c-7R.cl1 cells express smaller
numbers of IL-7R chains than ED-AV-7R.cl2 cells. The results
indicate that even with smaller numbers of IL-7R chain, the
wild-type c chain is capable of transducing a stronger signal than
the mutant c chain associated with relatively larger numbers of
IL-7R chains. In contrast, IL-2 or IL-15 stimulation of ED-AV-7R.cl2 cells gave a more robust phosphorylation of Jak3 even at concentrations as low as 100 pmol/L, similar to the wild-type c chain-expressing ED- c-7R.cl1 cells. Taken together, these results show that the mutation in the c chain impairs IL-4 and IL-7 signaling much more
than signaling through the IL-2 or IL-15 receptors.

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| Fig 2.
IL-4- and IL-7-induced tyrosine phosphorylation of Jak3
kinase is attenuated in the cells expressing the transfected mutant
c chain obtained from the X-SCID patient. (A) ED-7R.cl1 cells,
ED- c-7R.cl1 cells, ED- c-7R.cl3 cells, ED-AV-7R.cl2 cells, and
ED-AV-7R.cl8 cells were stimulated with 10 nmol/L of IL-2, IL-4, IL-7,
and IL-15 for 15 minutes. The cell lysates were immunoprecipitated with
anti-Jak3 polyclonal antibodies, separated by SDS-PAGE, and transferred
to membranes. Phosphotyrosine was detected by antiphosphotyrosine MoAb,
4G10. The filters were reprobed with the anti-Jak3 polyclonal
antibodies to determine the amount of Jak3 in each lane. (B)
ED- c-7R.cl1 cells and ED-AV-7R.cl2 cells were stimulated with
various concentration of IL-2, IL-7, and IL-15 for 15 minutes. The cell
lysates were immunoprecipitated with anti-Jak3 polyclonal antibodies,
and phosphotyrosine-containing proteins were detected by immunoblotting
with 4G10. The position of Jak3 is shown by the arrow. Molecular sizes
are indicated on the left (in kD).
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| Fig 3.
Scatchard plot analyses of 125I-labeled IL-4
and IL-7 binding to the ED40515 (-) and its transfected
derivatives expressing IL-7R alone or with the wild-type or mutant
c chain. The cells were incubated with 125I-IL-4 or
125I-IL-7 and binding site and kD values were calculated by
Scatchard analysis.
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The mutant c chain did not contribute to IL-4 and
IL-7 binding affinity.
The transfected cell lines were further examined for their
125I-IL-4 and 125I-IL-7 binding abilities. The
apparent numbers of ligand-binding sites and binding affinities on the
cell surfaces of the transfectants were calculated by Scatchard
analysis. ED- c-7R.cl1 cells displayed a single affinity of 114 pmol/L and 849 sites and of 165 pmol/L and 653 sites to IL-4 and IL-7,
respectively, whereas ED-AV-7R.cl2 cells bound IL-4 and IL-7 with a kd
of 201 pmol/L and 1085 sites and of 744 pmol/L and 1445 sites,
respectively (Fig 3). Because the binding affinities of ED-AV-7R.cl2
cells to IL-4 and IL-7 were similar to those of ED-7R.cl1 cells (182 pmol/L, 1093 sites and 603 pmol/L, 714 sites, respectively), the mutant
c chain was unable to increase the binding affinity of IL-4 and IL-7
in these cells (Fig 3).
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DISCUSSION |
Cytokines are a series of soluble proteins that play important roles in
immune regulation and their signals are mediated through their specific
receptors. X-SCID is the first example of an immunodeficiency disease
that is caused by mutation of a cytokine receptor, the c chain, and
so far about 150 mutations have been reported in the database at the
website http://www.nhgri.nih.gov/DIR/LGT/SCID.34 Recently,
a human Jak3-deficiency disease that has similar clinical features to
X-SCID has been described.32,33 Because Jak3 kinase is the
only known molecule directly associated with the c chain, and the
phenotypes of X-SCID and Jak3 deficiency are similar, the c-Jak3
signaling pathway has been suggested to be crucial for T-cell
development and to contribute to the X-SCID phenotype.30-33 In this report, we show that IL-4- or IL-7- but not IL-2- or
IL-15-induced tyrosine phosphorylation of Jak3 was diminished in ED
transfectant cells expressing the mutant c chain obtained from an
X-SCID patient. Because the mutation of the c chain is located in
the extracellular domain, the different levels of tyrosine
phosphorylation of Jak3 are likely due to different ligand-binding
abilities of the mutant c chain. The c chain binds ligands
together with their private receptor subunits, although it does not
bind any known cytokines by itself.3-10 The c chain has
two predicted discrete folding domains consisting of seven -strands
like other type-I cytokine receptors.35,36 This
double-barrel structure is connected by a hinge region in which the
conserved Ala156-Pro157 residues in the c
chain immediately precede the first -strand of the C-terminal
domain. Helical cytokines bind to the N-terminal barrel of the
extracellular domain of their receptors. Because the mutation in the
X-SCID patient is located at Ala156 in the c chain, the
angle of the double-barrel structure may be altered and ligand-binding
properties could be affected. As shown in the previous report, ED cells
expressing the mutant c chain could not bind IL-2 in the presence of
anti-IL-2R MoAb, H31 although they bound IL-2 with comparable
affinity to ED cells expressing the wild-type c chain.26
In the present study, we showed that the binding affinities of ED cells
expressing the mutant c chain to IL-4 and IL-7 are affected. The
IL-15R chain by itself binds IL-15 with high affinity in the absence
of other subunits21,22 and once the IL-15R chain
associates with the IL-2R/IL-15R  heterodimer, low concentrations
of IL-15 might be able to transduce a signal through the mutant c
chain. Interestingly, our patient has normal NK activity in his
peripheral blood. Taken together with our observation that the mutant
c chain could transduce an IL-15-induced signal, the mutant c
chain might be partially functional for NK-cell development and as a
result, the X-SCID patient might have his own NK cells. Of note, there
is a report of X-SCID patients with identical genotype, one with and
others without NK cells and NK activities.37 Factors other
than the c chain might influence NK-cell development or
alternatively, maternal NK cells might have been transplacentaly
transfused into the peripheral blood of the X-SCID patient as
previously described for T cells of X-SCID and SCID
patients.38
In the present study, we show that IL-4- and IL-7-induced signals are
particularly attenuated, compared with IL-2 and IL-15, in the ED
transfectant cells stably expressing the mutant c and IL-7R
chains. The result shows that IL-4 and/or IL-7 plays a crucial
role in T-cell development and contributes to the X-SCID phenotype. As
described above, IL-7 has been shown to be important factor for T-cell
development in mice.12,13 In contrast, thymus and T-cell
subsets develop normally in IL-4-knockout mice indicating that IL-4 is
not essential for development of immune system in mice.39
In addition, although IL-4 stimulation of X-SCID B cells did not result
in Jak3 phosphorylation, other IL-4 substrates including Jak1, IRS-1,
and STAT6 were phosphorylated.40 Thus, IL-7 is more likely
to play an important role in T-cell development and to contribute to
the X-SCID phenotype than IL-4. However, we could not rule out the
possibility that not only IL-7 but also IL-4 contribute to the
X-SCID phenotype. Further analyses of mutant c chains
obtained from X-SCID patients and the identification of individuals
with mutations in these genes will be needed to address this issue.
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FOOTNOTES |
The publication costs of this
article were defrayed in part by
page charge payment. This article
must therefore be hereby marked
"advertisement"
in accordance with 18 U.S.C. section
1734 solely to indicate this fact.
Address reprint requests to Satoru Kumaki, MD, Department of Pediatric
Oncology, Institute of Development, Aging and Cancer, Tohoku
University, 4-1 Seiryo-Machi, Sendai 980-8575, Japan; e-mail:
kumakis{at}europa.idac.tohoku.ac.jp.
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